Duke University Health System · Durham, North Carolina
Case #I-200-25121-927250
A Fellow position at Duke University Health System in Durham, North Carolina was filed at $2,217k per year, offering 2620% above the prevailing wage of $82k. The case was denied in 1 days during the FY FY2025 cycle. This position is for new employment.
| Case Number | I-200-25121-927250 |
| Case Status | Denied |
| Visa Class | H-1B |
| Fiscal Year | FY 2025 |
| Employer | Duke University Health System |
| Employer Location | Durham, North Carolina |
| Job Title | Fellow |
| SOC Code | 29-121600 – General Internal Medicine Physicians |
| Worksite | Durham, North Carolina |
| Annual Wage | $2,217k |
| Prevailing Wage | $82k |
| Wage Premium | +2619.9% |
| Positions | 1 (1 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Cardiologists | $95k | CERTIFIED | Jun 23, 2025 |
| Fellow | $95k | CERTIFIED | May 28, 2025 |
| Medical Assistant Professor | $200k | CERTIFIED | Aug 27, 2025 |
| Medical Assistant Professor | $200k | WITHDRAWN | Aug 27, 2025 |
| Medical Laboratory Scientist | $64k | CERTIFIED | Aug 18, 2025 |
This Labor Condition Application (LCA) was filed by Duke University Health System for the position of Fellow in Durham, North Carolina. The offered annual salary is $2,217k, compared to the prevailing wage of $82k for this occupation and location. This represents a wage premium of +2619.9% above the prevailing wage.
The LCA is the first step in the H-1B visa process. Employers must file an LCA with the Department of Labor certifying that they will pay the foreign worker at least the prevailing wage for the occupation in the area of intended employment. A certified LCA is required before the employer can file an H-1B petition with USCIS.
Case status: Denied. This means the Department of Labor has denied the application, possibly due to wage or documentation issues.
A Labor Condition Application (LCA) is a mandatory document that U.S. employers must file with the U.S. Department of Labor (DOL) before they can petition for a foreign worker under the H-1B, H-1B1, or E-3 visa categories. The LCA process was established under the Immigration and Nationality Act (INA) to protect both foreign and domestic workers by ensuring fair wages and working conditions.
When a U.S. company identifies a foreign national to fill a specialty occupation position, they must first obtain DOL certification through the LCA process before filing the H-1B petition (Form I-129) with U.S. Citizenship and Immigration Services (USCIS). In this case, Duke University Health System filed LCA case number I-200-25121-927250 to sponsor a Fellow position at their worksite in Durham, North Carolina. By filing this LCA, the employer attests to four key conditions: (1) paying the higher of the actual wage or prevailing wage, (2) providing working conditions that will not adversely affect other similarly employed workers, (3) no strike or lockout at the worksite, and (4) providing notice of the filing to the bargaining representative or posting notice at the worksite.
The DOL establishes four wage levels for each occupation and geographic area, representing the progression from entry-level to fully competent workers:
For this filing, the offered wage of $2,217k compares to the DOL prevailing wage of $82k for General Internal Medicine Physicians positions in the Durham, North Carolina area. The positive wage premium of +2619.9% indicates the employer is offering above the DOL-determined average for this occupation and location.
The prevailing wage is the average wage paid to similarly employed workers in a specific occupation in the area of intended employment. The DOL determines prevailing wages using data from the Occupational Employment and Wage Statistics (OEWS) survey conducted by the Bureau of Labor Statistics (BLS). Employers must pay H-1B workers the higher of the prevailing wage or the actual wage paid to other employees in similar positions at the company. This requirement is designed to prevent employers from using H-1B workers to undercut domestic wages.
A "Denied" status means the DOL has determined that Duke University Health System's LCA did not meet one or more regulatory requirements. Common reasons for denial include: the offered wage falling below the prevailing wage, errors in the application, failure to properly attest to working conditions, or prior violations by the employer. The employer may correct the identified issues and submit a new LCA.
This LCA was received by the DOL on May 1, 2025 and a decision was rendered on May 2, 2025, a processing time of approximately 1 business day. The standard DOL processing time for LCA applications is 7 to 10 business days. This application was processed within the standard timeframe.
The offered salary of $2,217k for this Fellow position provides a data point for evaluating compensation trends in H-1B visa sponsorship. When reviewing H-1B salary data, consider that wages vary significantly based on geographic location, employer size, industry sector, and the worker's experience level. This position falls under SOC code 29-121600 (General Internal Medicine Physicians), which standardizes how the Bureau of Labor Statistics classifies occupations across industries. Metropolitan areas like New York, San Francisco, and Seattle typically command higher salaries due to higher costs of living, while positions in smaller markets may offer lower nominal wages but comparable purchasing power.
The offered annual salary for this Fellow position at Duke University Health System is $2,217k. The Department of Labor prevailing wage for this occupation and location is $82k. The offered wage represents a +2619.9% premium over the prevailing wage.
This H-1B filing is for a position located in Durham, North Carolina. The employing company, Duke University Health System, is headquartered in Durham, North Carolina.
This Labor Condition Application is filed under the H-1B visa classification. The H-1B visa is designed for specialty occupation workers who possess at least a bachelor's degree or equivalent in a specific field related to the job.
The employer for this filing is Duke University Health System, located in Durham, North Carolina. Duke University Health System filed this Labor Condition Application (case number I-200-25121-927250) for a Fellow position during fiscal year FY 2025. View all Duke University Health System H-1B filings.
Denied means the U.S. Department of Labor has rejected this Labor Condition Application. Common reasons for denial include offering a wage below the prevailing wage, incomplete documentation, failure to properly attest to working conditions, or prior violations.